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Item From Search Request to Publication: Creating a Workflow to Highlight the Efforts of a Systematic Searching Service(2024-06-25) Vetter, Cecelia J.; Craven, Hannah J.; Stumpff, Julia C.Three librarians at the Ruth Lilly Medical Library (RLML) identified areas for improvement in a high-demand systematic searching service. The service lacked a way to track in-process searches, had a decentralized process for assigning projects, and did not capture individual workloads or the library’s search request backlog. After consulting with staff from other libraries, the librarians at RLML collaborated to develop a new workflow using a tool available through the university's Microsoft subscription. They created internal procedures to accompany the tool, conducted internal beta testing, and customized the tool to suit the needs of the service. To introduce the new workflow, the librarians engaged departmental stakeholders to show how the system could help quantify the effort of the evidence synthesis service and facilitate a more equitable distribution of workloads. They also conducted hands-on training sessions for librarians. The new workflow established a centralized waitlist for search requests used by all librarians and began tracking the stages and timing of systematic search projects. To ensure ongoing utilization of the new workflow, the library incorporated a standing agenda item in bi-monthly meetings to review the status of waitlisted search requests and encourage librarians to update project information. With the successful implementation of the new workflow, the library now effectively tracks in-progress evidence synthesis projects, manages a centralized systematic search request waitlist, and better highlights the efforts of the systematic searching service.Item Get Credit for Your Searches: Our Experience Using searchRxiv(2024-06-24) Hinrichs, Rachel J.; Craven, Hannah J.; Stumpff, Julia C.Librarians build detailed search strategies for evidence syntheses enabling the comprehensive retrieval of studies while taking care that no relevant studies are missed. However, this work may be wasted or lost if the review does not reach publication or if the search strategies are not included with the publication. Further, search strategies that are stored in article appendices may not be preserved in the long-term. To address these problems, in 2022 we started depositing search strategies that we developed for evidence syntheses to a new repository called searchRxiv (pronounced “search archive”). SeachRxiv is an open repository established by CABI Digital Library to support information professionals in reporting, sharing, re-using and preserving their search strategies. In this presentation, we will share our experience with searchRxiv, including the advantages and challenges of sharing search strategies as individual research products separate from reviews. For each challenge, we will share our lessons learned and solutions developed, including a template for uploading multiple searches at a time and an approach to adding search strategies to CVs and digital scholarly profiles. We will also share pros and cons to using searchRxiv as opposed to an institutional repository. Despite challenges we have encountered, since 2022 we have been able to openly share 59 search strategies from 13 evidence syntheses using searchRxiv. Overall, we find searchRxiv to be a scalable approach for highlighting the unique contributions of librarians to evidence syntheses beyond publications, and for enabling re-use and reproducibility of our searches.Item Too Much of a Good Thing? Detrimental Health Effects Linked to Environmental Lithium Exposure through Drinking Water(The American Psychiatric Association, 2024) Patterson, Andrea; Bartlett, Zane; Fisher, Sarah; Stumpff, Julia; Schwab, Rebecca; Unfried, GregoryFor centuries, people have made pilgrimages to lithium springs in search of better health. In modern times, relatively high levels of lithium in drinking water are linked to lower suicide and homicide rates as well as possible neuroprotective benefits. However, with increased mining of lithium, metallic contaminants in the environment are a growing concern. The goal of this systematic review is to determine whether there is a risk to humans from higher levels of environmental lithium in the water supply. Methods: Systematic Review. Between searches in October 2021 and May 2023, a total of 10,234 citations were retrieved from three databases, one citation index, and one clinical trial registry. 6106 duplicates were removed. 4127 records were screened. 3873 were excluded. 254 reports were retrieved and assessed for eligibility based on population, study design, and outcomes. 26 studies were included in the final review. Results: Of the 26 studies selected for extraction, 12 showed negative effects related to lithium exposure through drinking water. The studies reviewed included data from five continents. Study subjects ranged from newborn to adult, including pregnant women. The data reflected the possibility for detrimental effects to the nervous system, the cardiovascular system, the endocrine system, the lymphatic system, the urinary system, and the integumentary system. Of note, the suggested effects included increased risk of autism spectrum disorder and up to 1.88-fold increase in the risk of schizophrenia spectrum disorder. It also indicated possible teratogenicity. Conclusion: The findings of this review indicate that lithium, even at the non-therapeutic levels found in drinking water, is linked to negative impacts on human health. This suggests the need for further studies and the development of clear guidelines regarding monitoring and maximum permissible concentrations of lithium in municipal and bottled water supplies [Note: Due to APA’s conference restrictions on the number of authors, Schwab, R was left off as an author on the poster. However, she contributed to the study by doing initial work on parameters.]Item Integration in a residency scholarship curriculum: Successes and challenges in a family medicine program(Medical Library Association, 2024-05-20) Stumpff, Julia C; Vetter, Cecelia J; Delbridge, Emilee JIn early 2020, a Family Medicine (FM) faculty member reached out to request library instruction for second-year residents (PGY2) working on scholarly projects. Tailored library sessions were integrated into the second-year residency curriculum. Two years after implementing this program, 23 residents were surveyed to understand what residents learned and what training they still needed to assist them with their scholarly projects. Librarians and the FM faculty member then added citation management content to the curriculum. A research study to measure the impact of the library interventions on resident’s library research skills was piloted. Pre-test data showed that the FM residents lacked knowledge in locating library resources and were not comfortable with citation management tools. Post-test data showed that most residents were clearer about where to search for sources for their research, were more comfortable using citation managers, and better understood how to use Boolean terms.Item I’m Rooting for You: Cultivating Relationships with Graduate Student Workers(2024-05-02) Connell, Nicole; Hall, Danielle; Lebovitz, Sarah; Pieczko, Brandon T.; Vaughan, BennaThe current GLAM hiring culture is competitive and increasingly experience driven—students are expected to graduate from their master’s programs with varied practical experiences in addition to theoretical knowledge and familiarity with best practices in the field. What opportunities exist for both full-time and part-time students to gain these experiences, and how can practitioners help without overextending themselves? What work goes into supervising and collaborating with students? In this roundtable discussion, panelists will examine the various aspects of collaborations between professionals and student workers in archives. Hear examples from archives professionals who make space for library and archives students to gain hands-on, project-based, educational experiences that benefit their own institutions, their partner organizations, and above all, the student participants. Learn about advocating for and acquiring funding for student positions and the types of projects students complete during internships and practicum experiences, and gain insight into how practical work experience supports and supplements classroom curricula. When strong relationships exist between universities and professional archivists, students can enter the field as well-rounded,confident professionals with the experiences and peer support systems necessary to secure full-time employment.Item Uploading Your IUSM Medical Education Day Works to IUPUI ScholarWorks(Ruth Lilly Medical Library, 2024-04-25) Craven, Hannah J.; Pieczko, Brandon T.This handout is intended for people presenting at the 2024 IUSM Education Day conference to assist with uploading their posters or presentations to IUPUI ScholarWorks.Item Decision fatigue in hospital medicine: A scoping review(The Society for Hospital Medicine, 2024-04) Jones, Sarah; Perry, Kelsey; Stumpff, Julia C; Kruer, Rachel; Czosnowski, Lauren; Kara, AreebaBACKGROUND: Decision fatigue describes the erosion of decision-making capacity as a consequence of the repeated acts of decision making. The phenomenon has been detected in ambulatory settings with higher rates of inappropriate antimicrobial and opiate prescribing and lower rates of cancer screening associated with appointments that occur later in the day. As hospital medicine is acknowledged to be a cognitively intense specialty, we decided to explore decision fatigue in hospital medicine. METHODS: As a relatively unexplored concept, we undertook a scoping review to understand what is known about decision fatigue in hospital medicine. All studies including healthcare workers in acute care settings and exploring the concepts of decision fatigue, cognitive burden and/or fatigue were included. Conceptually related studies of sleep deprivation, shift work, Circadian disruption, and excessive workloads with actual or theoretical paths of causality related to patient outcomes were also included. RESULTS: Our preliminary search revealed fifteen studies that met our inclusion criteria. No study specifically included hospitalists. Most studies described the concept among nurses, residents, and/or emergency department physicians. The outcomes studied were diverse and included self reported perceptions (e.g. perceived impact on patient care) and validated scales to measure fatigue and psychomotor performance. Fewer studies investigated clinical decisions such as the use of consultations, imaging and disposition decisions through the emergency department. Mitigating circumstances such as age, experience, responsibilities outside the hospital (e.g. having children) were infrequently described. CONCLUSIONS: While hospital medicine's fast pace, multitasking, fragmentation between clinicians and interruptions make it susceptible to decision fatigue, the concept remains under-explored in hospital medicine. The lack of consistent terminology complicates the evaluation of a phenomenon which ultimately is the culmination of individual, patient, work system and work environment factors. There is a need to detect and defuse the impact of decision fatigue in hospital medicine.Item Impact metrics for non-traditional research outlets Cheat Sheet(2024-03-07) Ramirez, Mirian; Whipple, Elizabeth C.; Dolan, LeviItem Predictive Factors Influencing Internal Rotation Following Reverse Total Shoulder Arthroplasty(Elsevier, 2023) Luster, Taylor G.; Dean, Robert S.; Trasolini, Nicholas A.; Eichinger, Josef K.; Parada, Stephen A.; Ralston, Rick K.; Waterman, Brian R.; Ruth Lilly Medical Library, School of MedicineIntroduction Reverse total shoulder arthroplasty (RSA) is increasingly utilized as a treatment modality for various pathologies. The purpose of this review is to identify preoperative risk factors associated with loss of IR following RSA. Methods A systematic review was conducted using preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Ovid MEDLINE, OVID Embase and Scopus were queried. The inclusion criteria were: English language, minimum one-year follow-up postoperatively, study published after 2012, minimum of ten patients in a series, surgery was RSA for any indication, IR is explicitly reported. The exclusion criteria were: full text was unavailable, unable to be translated to English, follow-up < one year, case reports or series of less than ten cases, review articles, tendon transfers were performed at the time of surgery, the procedure performed was not RSA, and the range of motion in IR was not reported. Results The search yielded 3,792 titles, and 1,497 duplicate records were removed before screening. Ultimately, 16 studies met inclusion criteria with a total of 5124 patients that underwent RSA. Three studies found that poor preoperative functional IR served as a significant risk factor for poor postoperative IR. Eight studies addressed the impact of subscapularis with four reporting no difference in IR based on subscapularis repair, and four reporting significant improvements with subscapularis repair. Additionally, two studies reported that BMI negatively affected IR, while two showed it had no impact. Preoperative opioid use was found to negatively affect IR. Other studies showed that glenoid retroversion, component lateralization and individualized component positioning affected postoperative IR. Discussion/Conclusion: This study found that preoperative IR, individualized implant version, preoperative opioid use, increased glenoid lateralization were all found to have a significant impact on IR following RSA. Studies that analyzed the impact of subscapularis repair and BMI reported conflicting results.Item Interventions to support medical trainee well-being when dealing with patient death: a scoping review protocol(BMJ, 2023-06-08) Ibrahim, Halah; Vetter, Cecelia J.; West, Kelsey; Alsoud, Leen Oyoun; Sorrell, Sara; Ruth Lilly Medical Library, School of MedicineIntroduction: Existing literature demonstrates that medical students and residents experience complex emotions and substantial grief after patient deaths. Over time, this can lead to burnout and depression and adversely impact patient care. In response, medical schools and training programmes worldwide have developed and implemented interventions to help medical trainees to better cope with patient deaths. This manuscript provides a scoping review protocol that aims to systematically identify and document the published research reporting on the implementation or delivery of interventions to support medical students and residents/fellows in dealing with patient death. Methods and analysis: A scoping review will be conducted following the Arksey-O'Malley five-stage scoping review method and the Scoping Review Methods Manual by the Joanna Briggs Institute. English language interventional studies published through 21 February 2023, will be identified in the following databases: MEDLINE, Scopus, Embase, Psych Info, Cochrane Database of Systematic Reviews, CINAHL and ERIC. Two reviewers will screen titles and abstracts and then independently screen full-text articles for inclusion. Two reviewers will assess the methodological quality of included studies using the Medical Education Research Study Quality Instrument. After extraction, data will be narratively synthesised. Experts in the field will be consulted to ensure the feasibility and relevance of the findings. Ethics and dissemination: Ethical approval is not required as all data will be collected from published literature. The study will be disseminated through publication in peer-reviewed journals and presentation at local and international conferences.